| Abdomen 2 views (74019) |
$385.10 |
$513.46 |
4.2× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,035 |
$1,380 |
3.0× |
| Ankle 2 views (73600) |
$267.75 |
$357 |
3.5× |
| Arthrography knee lt (73580) |
$732.75 |
$977 |
2.4× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,177.50 |
$1,570 |
3.4× |
| Bone &/joint imaging whole body (78306) |
$999.75 |
$1,333 |
2.9× |
| Bone age studies (77072) |
$157.50 |
$210 |
1.7× |
| Bone Imaging 3 Phase (78315) |
$1,335.75 |
$1,781 |
3.8× |
| Bone survey complete (77075) |
$225.75 |
$301 |
2.5× |
| Brain imaging < 4 static views w vascular flow (78601) |
$774 |
$1,032 |
2.2× |
| Cervical spine 2 or 3 views (72040) |
$300.46 |
$400.61 |
3.9× |
| Chest 1 view (71045) |
$131.26 |
$175.01 |
1.7× |
| Chest 3 views (71047) |
$177 |
$236 |
2.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$377.25 |
$503 |
2.5× |
| Clavicle complete (73000) |
$271.50 |
$362 |
3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$141.75 |
$189 |
1.5× |
| CT abdomen and pelvis without and with contrast (74178) |
$2,738.25 |
$3,651 |
9.0× |
| CT abdomen and pelvis without contrast (74176) |
$4,601.42 |
$6,135.22 |
22.0× |
| CT abdomen w contrast (74160) |
$2,127 |
$2,836 |
13.8× |
| CT abdomen w wo contrast (74170) |
$3,606 |
$4,808 |
23.5× |
| CT abdomen w/o contrast (74150) |
$2,621.25 |
$3,495 |
28.6× |
| CT angiography upper extremity lt (73206) |
$2,571 |
$3,428 |
16.7× |
| CT c-spine w/o contrast (72125) |
$1,861.86 |
$2,482.48 |
20.3× |
| CT cervical spine w&w/o contrast (72127) |
$1,950 |
$2,600 |
12.7× |
| CT cervical spine with contrast (72126) |
$1,933.50 |
$2,578 |
6.3× |
| CT chest w/wo contrast (71270) |
$3,452.25 |
$4,603 |
22.5× |
| CT chest with contrast (71260) |
$3,744.72 |
$4,992.96 |
24.4× |
| CT head/brain with contrast (70460) |
$1,789.50 |
$2,386 |
11.6× |
| CT head/brain without and with contrast (70470) |
$3,330 |
$4,440 |
21.7× |
| CT iac w contrast (70481) |
$1,630.50 |
$2,174 |
10.6× |
| CT lower ext w/o (73700) |
$1,745.25 |
$2,327 |
19.0× |
| CT lower extremity w wo contrast (73702) |
$2,270.25 |
$3,027 |
14.8× |
| CT lower extremity with contrast (73701) |
$1,831.50 |
$2,442 |
11.9× |
| CT lumbar spine w & w/o contrast (72133) |
$2,222.25 |
$2,963 |
14.5× |
| CT lumbar spine w/o contrast (72131) |
$2,398.04 |
$3,197.38 |
26.2× |
| CT lumbar spine with contrast (72132) |
$1,933.50 |
$2,578 |
6.3× |
| CT maxillofacial w contrast (70487) |
$2,033.25 |
$2,711 |
13.2× |
| CT maxillofacial w/o contrast (70486) |
$2,267.46 |
$3,023.28 |
24.7× |
| CT maxillofacial w/wo contrast (70488) |
$2,021.25 |
$2,695 |
13.1× |
| CT neck soft tissue w contrast (70491) |
$1,956.42 |
$2,608.56 |
12.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$2,246.25 |
$2,995 |
14.6× |
| CT orbits w/o contrast (70480) |
$1,578 |
$2,104 |
17.2× |
| CT pelvis w & w/o contrast (72194) |
$2,130.75 |
$2,841 |
13.9× |
| CT pelvis w/o contrast (72192) |
$3,571.24 |
$4,761.65 |
39.0× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,716.75 |
$2,289 |
11.2× |
| CT soft tissue neck w/o contrast (70490) |
$1,855.50 |
$2,474 |
20.3× |
| CT thoracic spine w/contrast (72129) |
$1,680.75 |
$2,241 |
10.9× |
| CT thoracic spine w/o contrast (72128) |
$3,489.50 |
$4,652.66 |
38.1× |
| CT thoracic spine w/wo contrast (72130) |
$5,442 |
$7,256 |
35.4× |
| CT thorax w/o contrast (71250) |
$1,077.60 |
$1,436.80 |
11.8× |
| CT upper extremity w/o & w/contrast material (73202) |
$1,974 |
$2,632 |
12.8× |
| CT upper extremity w/o contrast rt (73200) |
$2,663.25 |
$3,551 |
29.1× |
| CT upper extremity with contrast (73201) |
$1,630.50 |
$2,174 |
5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$393.75 |
$525 |
2.6× |
| CTA abdomen pelvis (74174) |
$2,738.25 |
$3,651 |
9.0× |
| CTA chest (71275) |
$1,925.86 |
$2,567.81 |
12.5× |
| Cta Head (70496) |
$2,014.50 |
$2,686 |
13.1× |
| CTA lwr ext w&w/o contrast (73706) |
$2,270.25 |
$3,027 |
14.8× |
| Cta Neck (70498) |
$2,014.50 |
$2,686 |
13.1× |
| Cystography minimum 3 views rs&i (74430) |
$370.50 |
$494 |
1.2× |
| Dxa bone density study 1/> sites axial skel (77080) |
$649.27 |
$865.69 |
7.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) |
$269.25 |
$359 |
3.5× |
| Echoencephalography real time imaging (76506) |
$492.75 |
$657 |
5.4× |
| Esophagus (74220) |
$352.50 |
$470 |
2.3× |
| Fetal biophysical profile non-stress testing (76818) |
$233.25 |
$311 |
2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$324.75 |
$433 |
3.5× |
| Fluoroscopy up to 1 hr (76000) |
$323.25 |
$431 |
1.5× |
| Foot 2 views (73620) |
$267.75 |
$357 |
3.5× |
| Forearm 2 views (73090) |
$374.12 |
$498.84 |
4.9× |
| Hand 2 views (73120) |
$234.75 |
$313 |
2.6× |
| Hand 3 views (73130) |
$517.34 |
$689.78 |
6.8× |
| Heart Infarct Image (78466) |
$786 |
$1,048 |
2.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$2,306.85 |
$3,075.80 |
4.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$1,774.50 |
$2,366 |
5.1× |
| Ht muscle image spect sing (78451) |
$2,049.38 |
$2,732.50 |
1.8× |
| Humerus Min 2 Views Left (73060) |
$261.44 |
$348.59 |
3.4× |
| Hysterosalpingogram (74740) |
$618 |
$824 |
3.0× |
| Kidney imaging morphology (78700) |
$788.25 |
$1,051 |
2.3× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$1,116 |
$1,488 |
2.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,316.25 |
$1,755 |
2.8× |
| Kidney Img Morphology Vascular Flow Multiple (78709) |
$1,360.50 |
$1,814 |
2.9× |
| Knee 3 views (73562) |
$556.92 |
$742.56 |
7.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$927 |
$1,236 |
2.6× |
| Lung perf&ventilat diferentl (78598) |
$785.25 |
$1,047 |
1.7× |
| Lung perfusion differential (78597) |
$825.75 |
$1,101 |
2.4× |
| Lung Ventilation Imaging (78579) |
$648.75 |
$865 |
1.9× |
| Lymphoscintigraphy (78195) |
$825.75 |
$1,101 |
1.7× |
| Mammary ductogram or galactogram multiple (77054) |
$613.50 |
$818 |
2.9× |
| Mammary ductogram or galactogram single (77053) |
$458.25 |
$611 |
2.2× |
| Manual appl stress pfrmd phys/qhp joint films (77071) |
$183.75 |
$245 |
2.4× |
| Meckels Diverticulum (78290) |
$869.25 |
$1,159 |
2.5× |
| MRA head w & w/o contrast (70546) |
$3,357 |
$4,476 |
11.0× |
| MRA head w/o contrast (70544) |
$3,328.50 |
$4,438 |
15.9× |
| MRA head with contrast (70545) |
$2,918.25 |
$3,891 |
9.5× |
| MRA neck w contrast (70548) |
$2,918.25 |
$3,891 |
9.5× |
| Mra Neck W/O &W/Contrast Material (70549) |
$2,918.25 |
$3,891 |
9.5× |
| MRA neck w/o contrast (70547) |
$2,616.75 |
$3,489 |
12.5× |
| MRI abdomen w contrast (74182) |
$2,535.75 |
$3,381 |
8.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$5,399.25 |
$7,199 |
17.7× |
| MRI abdomen w/o contrast (74181) |
$2,472 |
$3,296 |
11.8× |
| MRI any jnt lwr ext with con lt (73722) |
$3,243 |
$4,324 |
4.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$3,243 |
$4,324 |
4.7× |
| MRI c-spine with contrast (72142) |
$2,493 |
$3,324 |
8.2× |
| MRI cervical spine w/o contrast (72141) |
$5,924.10 |
$7,898.80 |
28.3× |
| MRI chest w/o & w/contrast material (71552) |
$2,881.50 |
$3,842 |
9.4× |
| MRI chest w/o contrast (71550) |
$2,881.50 |
$3,842 |
13.8× |
| MRI chest with contrast (71551) |
$2,881.50 |
$3,842 |
4.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$2,397.75 |
$3,197 |
7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,536.75 |
$2,049 |
5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$2,997 |
$3,996 |
14.3× |
| MRI orbit face &/neck w/o contrast (70540) |
$2,844 |
$3,792 |
13.6× |
| MRI orbit/face/neck w&w/o cont (70543) |
$3,529.50 |
$4,706 |
11.5× |
| MRI orbit/face/neck w/contrast (70542) |
$2,760.75 |
$3,681 |
9.0× |
| MRI pelvis w contrast (72196) |
$2,472 |
$3,296 |
8.1× |
| MRI pelvis w/o & w/contrast material (72197) |
$3,165 |
$4,220 |
10.4× |
| MRI pelvis w/o contrast (72195) |
$3,411 |
$4,548 |
16.3× |
| MRI scan of arm joint before and after contrast (73223) |
$6,123 |
$8,164 |
20.0× |
| MRI scan of leg joint before and after contrast (73723) |
$3,543.38 |
$4,724.50 |
11.6× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$6,372 |
$8,496 |
20.8× |
| MRI spinal canal lumbar w/contrast material (72149) |
$3,038.25 |
$4,051 |
9.9× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$3,457.50 |
$4,610 |
11.3× |
| MRI thoracic spine w/o contrast (72146) |
$3,552.75 |
$4,737 |
17.0× |
| MRI tmj (70336) |
$2,226.75 |
$2,969 |
10.6× |
| MRI upper ext joint w/o contrast (73221) |
$4,550.25 |
$6,067 |
21.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$2,868.75 |
$3,825 |
9.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$2,038.50 |
$2,718 |
9.7× |
| Myelogram Lumbar (72265) |
$696.75 |
$929 |
1.0× |
| Myocardial Spect Multiple Studies (78452) |
$4,433.16 |
$5,910.88 |
3.9× |
| Neck soft tissue (70360) |
$274.50 |
$366 |
3.6× |
| Nm gastric emptying study (78264) |
$2,461.88 |
$3,282.50 |
7.0× |
| Nuclear medicine of heart muscle at rest with stress (78454) |
$2,291.25 |
$3,055 |
2.0× |
| Nuclear medicine of heart pumping function (78473) |
$1,492.50 |
$1,990 |
4.3× |
| Nuclear medicine study of limited area for thyroid cancer (78015) |
$846.75 |
$1,129 |
2.4× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$854.25 |
$1,139 |
2.4× |
| Nuclear medicine study to assess blood clot in vein of side (78457) |
$619.50 |
$826 |
1.3× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) |
$897 |
$1,196 |
9.8× |
| Osseous survey infant (77076) |
$116.25 |
$155 |
1.3× |
| Parathyroid imaging (78070) |
$491.25 |
$655 |
1.4× |
| Pelvis 1 or 2 views (72170) |
$148.07 |
$197.42 |
1.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$2,919.75 |
$3,893 |
9.6× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$825.75 |
$1,101 |
2.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$825.75 |
$1,101 |
1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$393.75 |
$525 |
0.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$384.75 |
$513 |
5.0× |
| Radex hips bilateral with pelvis 2 views (73521) |
$260.25 |
$347 |
2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$305.25 |
$407 |
3.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$145.73 |
$194.31 |
1.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$619.71 |
$826.28 |
8.1× |
| Radiologic exam colon single contrast study (74270) |
$718.50 |
$958 |
4.7× |
| Radiologic exam upr gi trc double contrast study (74246) |
$930 |
$1,240 |
6.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$423.15 |
$564.20 |
5.5× |
| Radiological examination surgical specimen (76098) |
$226.50 |
$302 |
0.5× |
| Ribs bilateral 3 views (71110) |
$302.25 |
$403 |
3.3× |
| Scanogram (77073) |
$207.75 |
$277 |
2.3× |
| Scapula complete (73010) |
$254.25 |
$339 |
2.8× |
| Screening digital breast tomosynthesis (77063) |
$229.32 |
$305.76 |
9.8× |
| Small bowel series (74250) |
$430.50 |
$574 |
2.8× |
| Spine thoracic 3 views (72072) |
$694.79 |
$926.38 |
7.6× |
| Therapeutic Enema (74283) |
$907.50 |
$1,210 |
5.9× |
| Thoracolumbar 2 views (72080) |
$381.75 |
$509 |
5.0× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,041 |
$1,388 |
2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$941.25 |
$1,255 |
2.7× |
| Tomogram (76100) |
$276 |
$368 |
3.0× |
| Ultrasound, abdomen limited (76705) |
$1,494.68 |
$1,992.90 |
16.3× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$130.50 |
$174 |
1.7× |
| Upper Extremity Infant (73092) |
$157.50 |
$210 |
1.7× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) |
$561.75 |
$749 |
1.6× |
| Urethrocystography retrograde rs&i (74450) |
$370.50 |
$494 |
1.8× |
| Urethrocystography voiding (74455) |
$505.50 |
$674 |
2.4× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$792 |
$1,056 |
5.2× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$603.75 |
$805 |
3.9× |
| Us abdl aorta screen aaa (76706) |
$860.25 |
$1,147 |
9.4× |
| Us breast unilateral complete (76641) |
$492 |
$656 |
5.4× |
| Us breast unilateral limited (76642) |
$1,209.39 |
$1,612.52 |
15.9× |
| Us chest (76604) |
$382.50 |
$510 |
4.2× |
| Us compl joint r-t w/image documentation (76881) |
$507.75 |
$677 |
5.5× |
| Us ob detailed single fetus (76811) |
$1,870.50 |
$2,494 |
8.9× |
| Us ob transvaginal (76817) |
$881.25 |
$1,175 |
9.6× |
| Us pelvic non ob complete (76856) |
$1,200.23 |
$1,600.30 |
13.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$306 |
$408 |
3.3× |
| Us pregnancy ltd (76815) |
$817.50 |
$1,090 |
8.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$419.25 |
$559 |
4.6× |
| Us retroperitoneal complete (76770) |
$489.52 |
$652.69 |
5.3× |
| Us scrotum and contents (76870) |
$1,550.64 |
$2,067.52 |
16.9× |
| Us soft tissue head/neck (76536) |
$1,317.23 |
$1,756.30 |
14.4× |
| Us spinal canal and contents (76800) |
$534.75 |
$713 |
5.8× |
| Us transrectal (76872) |
$800.25 |
$1,067 |
8.7× |
| Venogram extremity bilateral (75822) |
$1,560 |
$2,080 |
1.1× |
| Venography caval inferior serialography rs&i (75825) |
$4,809.75 |
$6,413 |
1.7× |
| Venography extremity unilateral rs&i (75820) |
$420.75 |
$561 |
0.3× |
| Wrist 2 views (73100) |
$276 |
$368 |
3.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$351.71 |
$468.94 |
3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$346.50 |
$462 |
4.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$391.70 |
$522.26 |
5.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$857.25 |
$1,143 |
5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$279 |
$372 |
3.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$416.50 |
$555.34 |
5.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$500.96 |
$667.94 |
6.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$260.25 |
$347 |
2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$260.25 |
$347 |
2.8× |
| X-ray eye for foreign body (70030) |
$121.50 |
$162 |
1.6× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$404.25 |
$539 |
4.4× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$517.34 |
$689.78 |
6.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$246 |
$328 |
3.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$367.50 |
$490 |
4.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$189 |
$252 |
2.5× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$157.50 |
$210 |
2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$649.74 |
$866.32 |
7.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$450 |
$600 |
4.9× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$237 |
$316 |
3.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$103.50 |
$138 |
1.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$252 |
$336 |
2.8× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$110.25 |
$147 |
1.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$673.50 |
$898 |
2.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$326.25 |
$435 |
4.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$300.38 |
$400.50 |
3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$262.50 |
$350 |
2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$312.75 |
$417 |
3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$282.91 |
$377.21 |
3.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$551.46 |
$735.28 |
7.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$401.25 |
$535 |
5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$481.50 |
$642 |
5.3× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$350.25 |
$467 |
3.8× |
| X-Ray Spine One View - Xr Spine (72020) |
$222.75 |
$297 |
2.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$252.75 |
$337 |
3.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$275.25 |
$367 |
3.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$517.34 |
$689.78 |
6.8× |
| Xr c-spine 6 or more views (72052) |
$422.25 |
$563 |
4.6× |
| Xr chest 4+ views (71048) |
$219 |
$292 |
2.4× |
| Xr shoulder 1 view (73020) |
$105 |
$140 |
1.4× |
| Xr spine cervical 4 or 5 views (72050) |
$884.52 |
$1,179.36 |
9.7× |
| Xr tibia/fibula 2 views (73590) |
$259.74 |
$346.32 |
3.4× |
| Xr tmj bilateral (70330) |
$186.75 |
$249 |
2.4× |
| Xray knee 1 or 2 views rt (73560) |
$240.04 |
$320.05 |
3.1× |